| NPI | 1194410332 |
|---|---|
| Other Name | CORECIVIC |
| Entity Type | Organization |
| Authorized Contact | SHELLEY RENEE THOMPSON Owner 928-201-2035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-12-22 |